Table 1

Distribution of injuries on admission CT scan

CT findingNumber (percentage) total=149Mean height of fall (m) (if relevant mechanism of injury), (range)Clinical findings: loss of consciousness GCS <15/15 at time of scan
Normal/scalp swelling only95 (63.8%)1.16 (0.15–6)
(n=76)
LOC: 11/95
GCS <15: 5/95
Isolated skull fracture29 (19.5%)1.40 (0.5–3.6)LOC: 4/29
 Scalp swelling present28(n=23)GCS <15: 5/29
 Scalp swelling absent1
Intracranial haemorrhage23 (15.4%)1.50 (0.5–4.5)
(n=21)
LOC: 7/23
GCS <15: 7/23
Associated with skull fracture21LOC: 6/21
GCS <15: 6/21
Thin subdural beneath fracture171.57(0.5–4.5)
(n=17)
LOC: 3/17
GCS <15: 3/17
Mixed subdural/patchy subarachnoid haemorrhage31.1 (n=2)LOC: 2/3
GCS <15: 2/3
Extradural haemorrhage beneath fracture11 (n=1)LOC: Yes—lucid interval
GCS <15: Yes
Isolated subdural haemorrhage20.7 (n=1)LOC: 1/2
GCS <15: ½
Parenchymal brain injury3 (2.0%)3(1.5–4.5)
(n=2)
LOC: 2/3
GCS <15: 2/3
Cerebellar contusion beneath occipital skull fracture1
Multifocal parenchymal contusions/patchy subarachnoid haemorrhage and ischaemic change2
Fractures54 in 51 (34.9%) childrenSee aboveSee above
 Right parietal24
 Left parietal13See above
 Biparietal7
 Temporal4 (1 right, 3 left)
 Frontal2 (1 right, 1 left)
 Occipital4
  • GCS, Glasgow Coma Scale; LOC, Loss of consciousness.